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Review
. 2023 May;20(5):1376-1383.
doi: 10.1111/iwj.13984. Epub 2022 Nov 8.

Effect of cefuroxime intracameral injection antibiotic prophylactic on postoperative endophthalmitis wound post-cataract: A meta-analysis

Min Wang  1 , Yun Liu  1 , Hongming Dong  1
Affiliations
Review

Effect of cefuroxime intracameral injection antibiotic prophylactic on postoperative endophthalmitis wound post-cataract: A meta-analysis

Min Wang et al. Int Wound J. 2023 May.

Retraction in

Abstract

To assess the impact of cefuroxime injection of intracameral prophylaxis antibiotic on after endophthalmitis operative wound following surgery of cataract, we conducted a meta-analysis. A thorough review of the literature up to July 2022 revealed that there were 1 167 197 participants with surgery of cataract at the start of the research; 1 004 425 of these subjects received an injection of intracameral of cefuroxime, while 162 772 did not get an antibiotic as a control. Using dichotomous approaches and a random or fixed-effect model, odds ratios (OR) with 95% confidence intervals (CIs) were estimated to evaluate the impact of cefuroxime injection of intracameral prophylaxis antibiotic on after endophthalmitis operative wound following surgery of cataract. When comparing no antibiotic in participants who had surgery of cataract, the cefuroxime injection of intracameral significantly reduced the after endophthalmitis operative wound (OR, 0.14; 95% CI, 0.07-0.29, P = 0.001) with high heterogeneity (I2 = 95%). When comparing participants who received no antibiotic after surgery of cataract, the after endophthalmitis operative wound from the cefuroxime injection of intracameral was considerably lower. Although none of the 22 studies encompassed in the meta-analysis had a study with a small sample size, it is nevertheless advisable to proceed with caution when analysing the results.

Keywords: antibiotic prophylactic; cataract surgery; cefuroxime intracameral injection; postoperative endophthalmitis wound.

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Figures

FIGURE 1
FIGURE 1
A flowchart of the study course
FIGURE 2
FIGURE 2
Compares the occurrence of after endophthalmitis operative wounds following surgery for cataract with those with and without cefuroxime injection of intracameral.
FIGURE 3
FIGURE 3
Funnel plot of the endophthalmitis wound rate comparison
See this image and copyright information in PMC

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